无创机械通气鼻罩与口鼻罩在呼吸衰竭病人中应用效果对比研究

Comparative study of non-invasive mechanical ventilation through the nasal mask and half-face mask in patients with respiratory failure

[目的]对经鼻罩无创机械通气与经口鼻罩无创机械通气在呼吸衰竭病人中应用效果进行对比。[方法]将84例呼吸衰竭需用无创呼吸机辅助治疗病人随机分为用鼻罩组和用口鼻罩组各42例,比较采用鼻罩和口鼻罩通气前和通气后30min的血气分析指标和病人配合情况。[结果]无创机械通气治疗及护理后30min,鼻罩组与口鼻罩组病人动脉血二氧化碳分压(PaCO2)、动脉血氧分压(PaO2)、pH值比较差异有统计学意义(P<0.05)。且鼻罩组配合情况明显优于口鼻罩组(P<0.05),且两组病人配合情况方面比较差异有统计学意义(P<0.05)。[结论]经鼻罩无创机械通气治疗呼吸衰竭疗效满意,经鼻罩无创机械通气病人的配合率更高。

Objective: To compare the effects of non-invasive mechanical ventilation through the nasal mask and non-invasive mechanical ventilation through the half-face mask in patients with respiratory failure. Methods: A total of 84 patients with respiratory failure treated with non-invasive ventilator- assisted treatment were enrolled in this study.The patients were randomly divided into the nasal mask group and half-face mask group,42 cases in each group.Blood gas analysis indicators and patient’s cooperation were compared before the ventilation and 30-min after the ventilation between the two groups. Results: There was a statistically significant difference in PaCO 2,SpO 2,and pH between the nasal mask group and the half-face mask group 30 min after non-invasive mechanical ventilation treatment and nursing( P <0.05).The cooperation of patients in nasal mask group was better than that of the half- face mask group,and the difference was statistically significant ( P <0.05). Conclusions: The non- invasive mechanical ventilation through the nasal mask and half-face mask were effective to treat the respiratory failure,and the cooperation rate of non-invasive mechanical ventilation of nasal mask was higher.